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Consequences For Nursing Graduates Of Failing The National Council Licensure Examination (Nclex), Julius Atemafac

Walden Dissertations and Doctoral Studies

Little information is available regarding the consequences of new nursing graduates who fail the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this study was to understand how these graduates could successfully pass this examination in subsequent attempts. Guided by Fisher's personal change model, the key research questions addressed the consequences of failing the NCLEX-RN exam and the actions the new graduate took after failing it. A phenomenological design was employed with a purposive sample of 17 new nursing graduates in the metropolitan area who had failed the NCLEX-RN. An inductive approach using a constant comparison, content …

Enhancing Nurses' Perceptions Of Patient Safety Culture Through The Just Culture Model, Aida Solomon

Walden Dissertations and Doctoral Studies

An organizational culture of safety affects employees' attitudes, beliefs, perceptions, and values related to safe practice as well as their behaviors and level of engagement. The purpose of this project was to determine the influence of introducing the just culture model through staff engagement in an interactive workshop. A convenience sample of acute care staff were recruited for this 1-sample pretest and posttest project design. The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture instrument was used to measure safety culture perceptions on 7 dimensions pre and post intervention. For the theoretical framework, Ajzen's theory of …

Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were

Walden Dissertations and Doctoral Studies

The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used …

Integration Of Technology Into A Nursing Curriculum Using A Mixed Method Approach, Susan Ramnarine-Singh

Walden Dissertations and Doctoral Studies

In 2011, the Institute of Medicine and 2010 Affordable Care Act addressed the need to use technology in nursing programs. The purpose of this study was to understand faculty perceptions of technology use and integration into the nursing curriculum at a college located in Texas. Lewin’s change theory acted as the theoretical framework to explore organizational dynamics involved in effective strategies. The guiding research questions explored faculty perceptions of technology use, types of technology used, and correlation to teaching experience using a convergent mixed-method approach. Thirty faculty members completed the Teacher’s Intention to Use Technology survey and 15 faculty members …

An Exploration Of Self-Management Support In The Context Of Palliative Nursing: A Modified Concept Analysis, Bridget Johnson, Liz Rogerson, Jurate Macijauskiene, Aurelija Blaževičienė, Patricia Cholewka

Publications and Research

Background
The role of self-management is often ambiguous, yet, it is an important area in clinical practice for palliative nurses. A clear conceptual understanding, however, of what it represents is lacking.

Method
This paper reports an analysis of the concept of self-management support in palliative nursing. Avant and Walker's method was used to guide this concept analysis. A search of electronic databases (1990–2013), use of internet search engines and supplementary hand searching produced an international data set of reviews, empirical research, editorials, protocols and guidelines.

Results
Based on the analysis self-management support in palliative nursing has been defined as assessing, …

The Development Of The Barriers, Elizabeth Hagelsieb-Escalera

Open Access Theses & Dissertations

Estimates of undiagnosed diabetics are as high as 50%. Early intervention and management can reduce the complications of diabetes; however, this is possible only after the disease has been diagnosed. A review of diabetes screening literature revealed a dearth of information regarding the diabetes screening behavior of individuals. Unlike barriers to cancer screening, little is known about barriers and facilitators to diabetes screening. The theory of planned behavior (TPB) is a logical theoretical framework to apply for the examination of screening intentions because it allows inference of behavioral predictors via survey item responses. Using the TPB framework, the Barriers and …

“Keeping It Together, Keeping Their Heads Above Water”: Western Australian Child Health Nurses’ Understanding Of Resilience In Postpartum Mothers, Rachael O. Collins, Julie Ann Pooley, Myra F. Taylor

Research outputs 2014 to 2021

Assessing the well-being of postpartum mothers is an important aspect of postnatal nursing care. For this reason, Child Health Nurses (CHNs) are charged with the responsibility of identifying postpartum mothers who do/not manifest resilient behavioral qualities. However, little is known about CHNs’ conceptualization of resilience or how they assess resilience in postpartum mothers. This exemplar study addressed this knowledge shortfall by conducting semi-structured interviews with eight practicing CHNs. The study’s findings reveal that although CHNs’ conceptual understanding of resilience is congruent with current theoretical thinking, some variance does exist in the ways in which CHNs assess postpartum resilience, particularly, in …

Selection Of An Instrument To Evaluate The Organizational Environment Of Nurses Working In Intensive Care: An Integrative Review, Brett Abbenbroek, Christine M. Duffield, Doug Elliot

Research outputs 2014 to 2021

To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses.

The Relationships Between Licensed Vocational Nurses' Care, Documentation, And Perceptions Of Dementia-Compromised Behaviors In The Nursing Home, Jennifer J. Yeager

Nursing Theses and Dissertations

Behavioral and psychological symptoms of dementia increase as Alzheimer's disease and related dementias progress; these symptoms occur in as many as 80% of persons with dementia living in nursing homes. Behavioral and psychological symptoms of dementia, also known as dementia-compromised behaviors, are a source of stress for nursing home staff, family members, and other residents and adversely affect the quality of life and safety of residents. Ethnonursing, a qualitative research method, was used to examine the relationship between licensed vocational nurses' responses to dementia-compromised behaviors, documentation, and perceptions of dementia care. Data analysis resulted in three overarching themes related to …

Assessing Quality Outcomes In A Behavioral Oncology Program: Capstone Project, Elizabeth M. Archer-Nanda

Graduate Theses, Dissertations, and Capstones

The landscape of cancer care has changed dramatically over the past several decades. An illness that was once often fatal, now represents both an acute life threatening illness and a chronic condition. While there have been tremendous advancements in the treatment of the physiological aspects of cancer, management of related psychosocial and emotional issues have not seen this same progress. Limited information exists related to both the evaluation and outcome metrics associated with the screening and management of psychiatric sequelae after referral to specialized psychiatric services in cancer patient populations. This capstone project focused on (a) implementation of consistent use …

Surveys Of Women With Hpv And Their Healthcare Experiences., Danielle Defayette

Undergraduate Honors Theses

Genital human papillomavirus infection is the most common sexually transmitted virus in the United States, with almost 20 million Americans currently infected and an additional 6.2 million becoming newly infected each year. Women rely strongly on their health care providers to educate and comfort them regarding this distressing diagnosis. This study will use an online, self-completion questionnaire to obtain women’s opinions regarding their health care providers’ performances concerning the initial consultation after learning of their HPV diagnosis. Findings from this study provided insight as to how women prefer receiving information from their health care providers concerning their diagnosis of HPV. …

Effects Of Wii Fit™ Plus Cardiovascular Exercises On Cognitive Function In Older Adults: Feasibility Study., Ifeanyichukwu Chinedozi

Undergraduate Honors Theses

Cognitive decline increasingly plague older adults. Although various studies have correlated aerobic exercises with decreased incidence of the development and progression of cognitive deterioration in older adults, there is no evidence as to whether or not the Wii Fit Plus Rhythm Kung-Fu, Hula-Hoop and the Wii Just Dance can improve the cognitive function of older adults as measured by the Standardized Mini Mental State Examination (SMMSE) instrument. A descriptive study design was used to explore the feasibility of implementing an aerobic exercise program for older adults in an assisted living facility using these Wii games, and evaluating whether or not …

Implementation Plan For Emr And Beyond, Lori Katterhagen

Doctor of Nursing Practice (DNP) Projects

Change is never easy for anyone, but how we implement change can make the difference in how an innovation is accepted. Over the last two years, a small community hospital in California has introduced a new electronic medical record (EMR) to meet the requirements of meaningful use mandated by the Centers for Medicare and Medicaid (CMS) for all hospitals across the United States. EMRs are expected to improve quality in many areas, especially to improve outcomes, while safely reducing costs (U.S. Department of Health & Human Services, 2012). Adoption of EMR’s is not optional, if facilities want to avoid penalties …

Innovative Approach To New Nurse Residency, Meaningful Use And Health Care Reform, Pamela V. Stanley

Doctor of Nursing Practice (DNP) Projects

The project’s aim was to examine the financial impact of replacing registered nurse (RN) travelers, RN registry and RN overtime with new graduate RNs. Newly graduated RNs are often viewed by hospital administrators as a more costly staffing resource. This project contributes knowledge regarding the potential cost savings with the utilization of a centralized float pool incorporating new graduates. In addition, it contributes a novel idea for reducing organizational costs of implementing an electronic medical record with the utilization of new graduates as super users.

A new graduate program, which incorporated the use of a formal preceptor and mentoring program, …

Transforming The Journey For Newly Licensed Registered Nurses: A Community Based Transition-To-Practice Program In Ambulatory Care Settings, Cathryn A. Halford Dnp

Doctor of Nursing Practice (DNP) Projects

Abstract

In response to the job shortage for newly licensed registered nurses (RNs), transition to practice and residency programs have been established in many areas of the country including the San Francisco Bay Area. The programs were designed as demonstration projects to assist new graduates by increasing their competence, confidence, and skills, and their employability. Evidence from new graduate programs suggests that the programs provide an important bridge that is necessary for the critical transition from classroom to clinical practice and from newly licensed RN to qualified nursing professional. The University of San Francisco (USF)

Transition-To-Practice (nurse residency) program in …

Factors Mediating Disruptive Behaviors In A Veterans Affairs Medical Center, Marylois Lacey

Dissertations

. Disruptive behaviors are often related to care giving situations in which the patient wants something that is not possible, refuses to participate in what is required, demands instant gratification, or demands immediate emotional support. In response to the patients’ demands and actions, health care providers use limit setting, activity demand, and denial of request. This study sought to answer the following questions: (a) Are code greens associated with symptoms of a medical and/or psychiatric diagnosis, denial of request, limit setting, and activity demand? (b) Are activity demand, denial of request, and limit setting more likely to be associated with …

Healthcare Provider's Adherence To The Centers For Disease Control And Prevention's Guidelines Regarding The Human Papillomavirus Vaccine In Males, Lacey Gullick, Kevin Miller

MSN Research Projects

The purpose of this study was to determine the number (percentage) of boys, ages 9-21, who were educated on or who received the HPV vaccine at their local community clinic.

Tetanus, Diphtheria, And Pertussis Screening And Pertussis Prevention Throughout The Age Span, Lacey Gullick, Kevin Miller

MSN Research Projects

The purpose of this study was to determine the number (percentage) of boys, ages 9-21, who were educated on or who received the HPV vaccine at their local community clinic.

Adherence To Guidelines For The Screening And Treatment Of Vitamin D Deficiency In Elderly Patients, Kelly Massey, Rebekah Overstreet, Franklin Golden

MSN Research Projects

The purpose of this study was to determine if health care providers are educating adult asthma patients according to the NHLBI guidelines.

Managing Congestive Heart Failure : A Study Comparing The Management Provided By A Cardiologist, Family Physician And Nurse Practitioner, Jill Lyle, Misti Garnett, Lisa Hayes

MSN Research Projects

The purpose of this project was to compare the care provided to congestive heart failure patients by three different provider types. The providers chosen were a cardiologist, a family physician and a nurse practitioner. The researchers used guidelines set forth by the American Heart Association and the American College of Cardiology.

Healthcare Provider Adherence To Asthma Education Guidelines, Jill Lyle, Misti Garnett, Lisa Hayes

MSN Research Projects

The purpose of this project was to compare the care provided to congestive heart failure patients by three different provider types. The providers chosen were a cardiologist, a family physician and a nurse practitioner. The researchers used guidelines set forth by the American Heart Association and the American College of Cardiology.

Healthcare Provider Adherence To Asthma Education Guidelines, Kelly Massey, Rebekah Overstreet, Franklin Golden

MSN Research Projects

The purpose of this study was to determine if health care providers are educating adult asthma patients according to the NHLBI guidelines.

The Creation And Implementation Of Interprofessional Simulation Leadership Scenarios, Angeline C. Delucas

Doctor of Nursing Practice (DNP) Projects

Healthcare is in a historical state of change creating an era that requires superior leadership skills. Leaders face burgeoning challenges in a competitive environment ensconced in reform. Today’s dynamic healthcare environment demands that nurse and interprofessional leaders be astute in a variety of areas including: fiscal responsibility and accountability, organizational politics, interpersonal skills, human resources, communication, conflict resolution, and emotional intelligence. Some areas such as fiscal management are considered hard skills, or skills which can be taught, while others such as conflict resolution are referred to as soft skills, or skills that are learned through experience. Though soft …

Exploring Factors That Influence The Choice To Retire From Driving In Older Adults, Debra J. Jenkins

Theses and Dissertations

No

Primary Care Management Of Type 2 Diabetic Patients With Dyslipidemia According To Ncep Atp Iii Guidelines, Kate Totty, Nancy Grissom, Shannon Weathers

MSN Research Projects

The purpose of this study was to identify patient care practices of primary care providers in the monitoring and management of dyslipidemia in patients with type 2 diabetes according to the third report of the National Cholesterol Education program Adult Treatment Panel. The study presented here was a retrospective chart review of 300 charts completed in three primary care clinics in a southeastern state.

Grant Application: Randomized Comparison Of Two Internet-Supported Natural Family Planning Methods, Richard J. Fehring

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

No abstract provided.

Comparison Of Abstinence And Coital Frequency Between Two Natural Methods Of Family Planning, Richard J. Fehring, Thomas Bouchard, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Problem Statement: The length of periodic abstinence, due to overestimation of the fertile phase of the menstrual cycle is often a reason for dissatisfaction, discontinuation, and user error with natural family planning (NFP) methods. The objective of this research was to compare the length of required abstinence (i.e., estimated fertility) and coital frequency between two NFP methods.

Study Design: Analysis of existing data from a 12 month prospective comparison study in which participants were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group, both of which included a fertility algorithm as …

Work Stress Reactivity And Health Outcomes: A Study Of Nurses, Laurie Marie Jacobs

Dissertations and Theses

Negative events encountered in daily life influence individual well-being. Individuals vary in their reactivity to these events, the extent to which they are behaviorally, physiologically, and psychologically influenced by them (Almeida, 2005; Neupert, Almeida, & Charles, 2007). Reactivity to events in the form of changes in health behavior could represent either an attempt at coping (Cooper, Frone, Russell, & Mudar, 1995) or a stressor-related failure of self-control (Muraven & Baumeister, 2000). Such changes in behavior could have later effects on health.

Although a great deal of attention has been paid to both the immediate and long-term effects of stressors on …

Quality Of Life Among Southwest American Indians And Alaska Natives Living With The Hepatitis C Virus, Rydell Todicheeney-Mannes Phd, Rn, Acns-Bc

Dissertations

Background: Hepatitis C Virus is considered to be a global public health threat because seventy-five percent of infected persons have no symptoms and are unaware of their infection. It is significant to note that AI/ANs commonly contend with issues that prevent them from receiving or seeking medical care. Objectives: The purpose of this study was to: (a) Characterize the level of depression, alcohol consumption, stigma, and quality of life; (b) Examine the relationship among the variables of age, gender, residing on an AI/AN reservation, current partner status, depression, alcohol consumption, and stigma with quality of life in a sample of …

Chhs December 2013 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.